自拟沐足方改善中风后失眠患者睡眠质量与舒乐安定等效性随机平行对照研究  

With Traditional Chinese Medicine Foot Bath and Oral Estazolam on Improving Quality of Sleep in Patients with Post Stroke Insomnia Comparison

作　　者：蔡军红[1] 彭海燕[1] 吴碧梅 卢艳芳[1] 张宇霞[2] 

机构地区：[1]深圳市宝安区人民医院中医科,广东深圳518100 [2]深圳市宝安区中医院心电图室,广东深圳518100

出　　处：《实用中医内科杂志》2013年第4期52-54,共3页Journal of Practical Traditional Chinese Internal Medicine

摘　　要：[目的]观察自拟沐足方对改善中风后失眠患者睡眠质量疗效。[方法]使用随机平行对照方法,将200例住院患者按就诊顺序编号法随机分为两组。对照组100例舒乐安定2mg/次,1次/d,口服。治疗组100例自拟沐足方(当归50g,红花30g,苏木30g,泽兰30g,生地30g,桂枝30g)。具体方法:上述中药煎制成600mL备用,于患者睡前1h,水煎600mL加温开水5400mL倒入足浴仪中,保持水温40～45℃沐足。连续治疗2周为1疗程。观测临床症状、不良反应。连续治疗1疗程,判定疗效。[结果]治疗组痊愈10例,显效25例,有效50例,无效15例,总有效率85%。对照组痊愈12例,显效23例,有效54例,无效11例,总有效率89%。治疗组与对照组的临床疗效无显著差异(P>0.05)。不良反应治疗组优于对照组(P<0.01)。[结论]自拟沐足方治疗中风后失眠与舒乐安定具有等效性,且无明显副作用,成本低,操作方便,可重复性高,有望在临床中广泛推广。[Objective] Through the study of prescription foot on improving quality of sleep in patients with post stroke insomnia treatment at the same time, on foot with traditional Chinese medicine to patients with side effects. [ Methods] the questionnaire form, on foot with traditional Chinese medicine group and oral estazolam group patients were observed and compared. [ Results ] Oral administration of traditional Chinese medicine square foot group side effect is significantly less oral estazolam group. [ Conclusion ] After stroke treated with traditional Chinese medicine foot insomnia has good curative effect, less side effect, low cost, convenient operation, high repeatability, is expected to be widely popularized in clinical.

关 键 词：中风后失眠 自拟沐足方 舒乐安定 睡眠质量 SPIEGEL量表 入睡时间 总睡眠时间 夜醒次数 睡眠深度 做梦情况 醒后感觉 等效性随机平行对照研究 

分 类 号：R256.23[医药卫生—中医内科学]